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NCT Number: NCT07486882

Comparing Acoustic Resonance Therapy (ART) vs. Cognitive Behavioral Therapy for Insomnia (CBT-I)

The purpose of this study is to compare changes in sleep quality in patients with moderate to severe insomnia, in participants randomized to Cognitive Behavioral Therapy for Insomnia (CBT-I) arm versus those randomized to the SONU Headband Acoustic Resonance Therapy (ART) arm at end of treatment (6 weeks).

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Key information

Age range

22 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Mayo Clinic in Rochester

Rochester, Minnesota, 55905, United States

Location status: Recruiting

Location contact

Ivana T Croghan, PhD

PRINCIPAL_INVESTIGATOR

Ryan T Hurt, MD, PhD

PRINCIPAL_INVESTIGATOR

Shawn C Fokken, CCRP

CONTACT

[email protected]

507-293-2470

Stephanie Lindeen, RN

CONTACT

[email protected]

507-293-2470

About this study

This study will randomize 60 participants with moderate to severe Insomnia to one of two treatments over the course of 6 weeks: 1) a wearable device that uses Acoustic Resonance Therapy (ART) or 2) the interactive learning module - Cognitive Behavioral Therapy for Insomnia (CBT-I).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult subjects, 22 years of age and older at screening
  • Moderate-to-severe insomnia disorder, as defined by the International Classification of Sleep Disorders (ICSD-3)* and the Insomnia Severity Index (ISI) and have been diagnosed for more than three months.
  • Not pregnant by subject self-report at time of consent.
  • Have the ability to provide informed consent.
  • Have the ability to complete all aspects of this trial.
  • Have access to an iOS mobile device (iPhone X or above).
  • Have no contraindicating comorbid health condition that would interfere with the proper use of the SONU Headband system, as determined by the clinical investigators.
  • Participants who are taking sleep-aiding pills must agree to no changes to medication and dosage during the study.
  • According to the third edition of the International Classification of Sleep Disorders (ICSD-3), insomnia is characterized by difficulty in either initiating sleep, maintaining sleep continuity, or poor sleep quality

Exclusion criteria

  • Patients who are unable to commit to avoiding the consumption of alcohol during the study.
  • Patients who are unable to commit to avoid consumption of caffeine after 12 pm (noon).
  • Patients who have a clinically significant or unstable medical or surgical condition.
  • Participants using pacemakers or cardiac monitors.
  • Participants with severe physical illness or immediately post-surgery
  • Participants with severe mental disorders, such as schizophrenia, severe major depression, severe anxiety, bipolar disorder, dementia, substance use disorder, or severe neurological diseases such as a seizure, stroke, or Parkinson's disease.
  • Participants with other serious sleep disorders, such as severe obstructive sleep apnea.
  • Participants who are unable to attend regular follow-up evaluations.
  • Any unstable medical or mental health condition as determined by the physician investigator.

Treatment and study plan

Mayo Clinic Cognitive Behavioral Therapy for Insomnia (CBT-I)

Behavioral

The interactive learning module used at Mayo Clinic Cognitive Behavioral Therapy for Insomnia (CBT-I) focuses on five components:

  • Sleep hygiene
  • Stimulus control
  • Sleep restriction
  • Worry management
  • Relaxation training

The module includes goal-setting prompts, knowledge tests, and informational videos. Participants will utilize the CCBT-I modules daily for 6 weeks.

Acoustic Resonance Therapy (ART)

Device

The basis behind the SONU Headband system is acoustic resonance therapy (ART) which is delivered through two bone conduction transducers in the headband.

Participants will utilize the SONU headband to receive a 45-minute audio session of the personalized binaural beats audio every evening prior to sleep for a duration of 6 weeks.

Other names: SONU Headband

Primary outcomes

  1. Sleep Disturbance

    Time frame: Baseline, 12 weeks

    The Patient-Reported Outcomes Measurement Information System Sleep Disturbance instrument assesses self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep where a high score indicates self-reported perceptions of difficulties or concerns with sleep.

  2. Sleep Impairment

    Time frame: Baseline, 12 weeks

    The Patient-Reported Outcomes Measurement Information System Sleep Impairment 8a instrument assesses self-reported perceptions of sleep related issues in patients where a high score indicates self-reported patient perceptions of experience in sleep impairment.

Study contacts

Contact information is provided by the study sponsor or research team.

Shawn C Fokken, CCRP

CONTACT

[email protected]

507-7293-2740

Stephanie Lindeen, RN

CONTACT

[email protected]

507-7293-2740

Sponsors and collaborators

Lead sponsor

Mayo Clinic

Other

Registry information

Official study title

A Feasibility Pilot Comparing Acoustic Resonance Therapy (ART) to Cognitive Behavioral Therapy for Insomnia (CBT-I) for Treating Patients With Moderate to Severe Chronic Insomnia Disorder

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Mar 23, 2026
Registry last updated
Jul 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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